Indiana / Franciscan Health Munster
CMS certification 150165 · Munster, IN · 1 entry in CMS's price-transparency list
Franciscan Health Munster: charges and Medicare payments
Franciscan Health Munster reported 620 Medicare inpatient stays across 24 DRGs in 2024. Across them it charged 4.01 times what it was paid — mid-range in Indiana, number 37 of 70 hospitals with at least 100 stays (state median 4.08×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 80 stays at an average charge of $63,573, 30% below the national average. It also billed 1,393 outpatient services, charging 8.42 times what Medicare paid.
- 1Medicare inpatient stays 620
- 2Charge ÷ paid, inpatient 4.01×
- 3Rank in IN (highest ratio = 1) 37 of 70
- 4CMS price-transparency actions 1
Inpatient stays
For the 24 DRGs that can be compared with the national average, Franciscan Health Munster charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 80 | $63,573 | -30% | $15,103 |
| 291 Heart Failure and Shock with MCC | 69 | $36,152 | -36% | $9,619 |
| 193 Simple Pneumonia and Pleurisy with MCC | 47 | $40,757 | -32% | $10,763 |
| 189 Pulmonary Edema and Respiratory Failure | 42 | $37,016 | -36% | $9,592 |
| 177 Respiratory Infections and Inflammations with MCC | 37 | $61,578 | -13% | $12,916 |
| 378 Gastrointestinal Hemorrhage with CC | 28 | $40,931 | -16% | $7,966 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 23 | $25,882 | -36% | $6,412 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 23 | $31,029 | -37% | $9,126 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 22 | $44,321 | -40% | $12,148 |
| 689 Kidney and Urinary Tract Infections with MCC | 21 | $34,026 | -34% | $9,508 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 20 | $165,760 | -28% | $43,310 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 19 | $58,499 | -23% | $11,961 |
| 682 Renal Failure with MCC | 19 | $43,929 | -33% | $11,224 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 18 | $26,107 | -30% | $7,091 |
| 683 Renal Failure with CC | 18 | $31,992 | -21% | $7,063 |
| 603 Cellulitis without MCC | 17 | $21,846 | -41% | $7,091 |
| 811 Red Blood Cell Disorders with MCC | 17 | $56,977 | -16% | $11,439 |
| 690 Kidney and Urinary Tract Infections without MCC | 16 | $21,956 | -42% | $6,947 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 15 | $35,598 | -1% | $6,134 |
| 552 Medical Back Problems without MCC | 15 | $29,078 | -40% | $7,577 |
| 377 Gastrointestinal Hemorrhage with MCC | 14 | $58,451 | -32% | $12,124 |
| 394 Other Digestive System Diagnoses with CC | 14 | $27,266 | -42% | $9,141 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 13 | $43,253 | -28% | $16,476 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 13 | $23,948 | -50% | $7,966 |
Outpatient services
Against the Indiana average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Franciscan Health Munster charged $63,573 on average, 1% more than the Indiana average of $63,232, and was paid $15,103 against a state average of $15,368. For Heart Failure and Shock with MCC (DRG 291), Franciscan Health Munster charged $36,152 on average, 11% less than the Indiana average of $40,842, and was paid $9,619 against a state average of $10,315. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Franciscan Health Munster charged $40,757 on average, 7% less than the Indiana average of $43,683, and was paid $10,763 against a state average of $10,631. For Pulmonary Edema and Respiratory Failure (DRG 189), Franciscan Health Munster charged $37,016 on average, 10% less than the Indiana average of $41,261, and was paid $9,592 against a state average of $10,352. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $16,135 was 10% above the state average of $14,609. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $10,895 was 17% below the state average of $13,048. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $65,209 was 15% below the state average of $77,048. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $20,987 was 14% above the state average of $18,399.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Franciscan Health Munster in Munster, IN, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2026-02-13 (CMS case 7025)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.